PC-E-7.0B (Rev. 12-2000) PROBATE COURT OF FRANKLIN COUNTY, OHIO LAWRENCE A. BELSKIS, JUDGE ROBERT G. MONTGOMERY,JUDGE ESTATE OF CASE NO. , DECEASED STATEMENT IN LIEU OF SCHEDULE OF CLAIMS The undersigned Fiduciary of the above estate states that there are no known claims, debts or liabilities against this estate and files this statement in lieu of a Schedule of Claims. Fiduciary FRANKLIN COUNTY FORM 7.0B - STATEMENT IN LIEU OF SCHEDULE OF CLAIMS American LegalNet, Inc. www.FormsWorkFlow.com